243597 Sexual Risk Behavior Correlates of HPV Vaccination Initiation in College Females

Monday, October 31, 2011

Elizabeth Baker, MPH, CPH , Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Stephanie B. Jilcott, PhD , Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC
Christopher J. Mansfield, PhD , Department of Public Health, East Carolina University, Greenville, NC
David White, PhD , AA Col Tech and Computer Science Ad, East Carolina University, Greenville, NC
Lauren M. Whetstone, PhD , Department of Family Medicine, East Carolina University Brody School of Medicine, Greenville, NC
Background: Sexual risk behaviors are associated with one-time preventative measures such as ever having an STD screening. The purpose of this study was to examine the associations between HPV vaccination initiation and (1) sexual risk behaviors and (2) socio-demographic variables.

Methods: A subset of college females (n=832) enrolled in an introductory health course completed an online risk behavior survey at a southeastern university. Demographic variables and sexual risk behaviors were compared to HPV vaccination status. Chi-square analyses were used to test for significant differences between females who had and had not initiated the HPV vaccination series. Logistic regression was used to analyze the association between independent variables and vaccination initiation. Because sexual behaviors were highly correlated with each other, separate regressions were ran to avoid multicoliniarity. Findings were significant at <0.05.

Results: Of the 832 female students, 358 (43%) reported initiating the HPV vaccination series. Minority females were half as likely as non-Hispanic white females to be vaccinated, and insured females were twice as likely as uninsured females to be vaccinated. Compared to females who had no sexual partners, females who reported 4+ lifetime vaginal partners were 1.87 times more likely to initiate the vaccine; females receiving oral sex from 4+ lifetime partners were 2.02 times more likely to initiate the vaccine; and females performing oral sex on 4+ partners were 2.20 time more likely to initiate the vaccine.

Conclusion: HPV-related college programs should include discussions of sexual risk behaviors associated with infection and overcoming barriers to HPV vaccination.

Learning Areas:
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Social and behavioral sciences

Learning Objectives:
To identify sexual risk behaviors that correlate with HPV vaccine initiation among college females To identify demographic variables that correlate with HPV vaccine intitation among college females

Keywords: Cancer Prevention, Sexual Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author on the content I am responsible for, because I completed this work for my master's thesis and obtained my degree.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.